موضوعنا اليوم تكملة لموضوع الأخطاء الطبية
( mishaps or procedural errors )
حوادث هيبوكلورايت الصوديوم
(sodium hypochlorite accidents)
أسبابه، علاماته، علاجه و الوقاية منه. https://t.co/QEkPYdWj0y
Why we are using NaOCL In Endodontics Tx?
an effective irrigating solution in concentrations ranging from 0.5% to 6% and is able to:
-Disrupt the biofilm dissolve necrotic tissues.
-Remove organic components of the smear layer.
However, it is extremely cytotoxic.
Causes of this accident:
1)An inaccurate working length.
2)Iatrogenic widening of the radicular foramen.
3)Lateral perforation of the root.
4)Wedging of the irrigation needle.
Clinical features:
-Severe and immediate pain.
-Edema or bruising that may continue to extend over the injured side of the face, cheek, or lips.
-Hemorrhaging from the canal space.
-In the case of maxillary posterior teeth, the Patient may report periorbital pain. https://t.co/c0D6xmXkRn
-Chlorine taste, or irritation of the throat
-Paresthesia, either transient or permanent, can occur, especially if interventional is not rendered immediately.
In addition to sensory deprivation, motor nerve dysfunction secondary to irreversible chemical damage has been reported https://t.co/kpamR1KNTV